Individual provider · Type 1 NPI

Michael Stephen Elder Waters

Student in an Organized Health Care Education/Training Program · Sayre, PA

NPI number 1174265052 Active

Practice location

Guthrie/robert Packer Hospital, One Guthrie Square
Sayre, PA 18840

Call (570) 888-6666 Map

Mailing address

Graduate Medical Education Guthrie/robert Packer Hospit, One Guthrie Square
Sayre, PA 18840

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174265052

Michael Stephen Elder Waters's National Provider Identifier is 1174265052, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sayre, PA. The record was last updated on Apr 11, 2022.